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0 a V, <br />CITY Or EVERE T i WATER DEPT. <br />—3.3— W 0�, TURN 0 <br />— SHUT OFF ORDER <br />r�rlrrc—Il <br />ue <br />cu <br />� <br />eKl <br />.ec <br />l� <br />Date a(/.�G_ �X,J 19 0�O <br />❑ Shut <br />OnTurn ❑ Off <br />[:] Other _ Appl. No. 0 <br />7'0�3 <br />Service Address _ze 03 <br />Billing Address <br />Owner <br />Signed <br />Remarks: <br />RECORD OF TURN ON / S T OFF <br />Inspected El Shut Off Turn on Date — <br />Shut / 19( <br />❑ Remove Meter No. '� Reading <br />❑ Install Meter No. -( / X�! q 5 Reading V <br />New Service ❑ On By <br />Installed Off By <br />BILLING DEPARTMEN <br />Date Entered lot 5 <br />DESCRIPTION <br />Vrctur <br />S.rOco <br />eovtor <br />Servleo <br />sw <br />Construction <br />Sanitation <br />TOTAL <br />Current Charge <br />,.—�° <br />Back Charge <br />Credit Ad]. <br />�j =° <br />­5-°0 <br />Other <br />m N9 8173 <br />